GE Healthcare Avance Innovating with you, shaping exceptional care Features • Complete patient monitoring capabilities: respiratory gas, hemodynamic and adequacy of anesthesia • Our state of the art electronic gas mixer with pneumatic back-up control • Full color displays Advanced Breathing System (ABS™) • Minimal number of parts and tube connections greatly reduces the potential for leaks and misconnects • Ease of disassembly (no tools) • Fully autoclavable and latex-free Superior Ventilation Options • Volume Control, Pressure Control, PSVPro® (Pressure Support with Apnea backup mode), Synchronized Intermittent Mandatory Ventilation (SIMV) (Volume and Pressure), electronic PEEP • Tidal volume compensation • One motion from mechanical to manual mode • Two key presses to total standby: end case • Cardiac bypass case mode Exceptional Design • Generous storage and work surface space • Bi-level work surface illumination • Integrated cable and tube management Physical Specifications Dimensions Height: 134.5 cm/52.9 in Width: 72 cm/28.3 in Depth: 73 cm/28.7 in Weight: Approximately 125 kg/275 lb Top shelf Weight limit: 34 kg/75 lb Width: 66 cm/26 in Depth: 40 cm/15.75 in Ventilator Operating Specifications Work surface Height: 81.7 cm/32.2 in Modes of ventilation – standard Size: 2640 cm2/409 in2 VCV (Volume Control) Mode with tidal volume compensation DIN rail Modes of ventilation – optional Side of machine: 34.5 cm/13.6 in Drawers (internal dimensions) Height: 17.5 cm/6.9 in Width: 33 cm/13 in Depth: 26.5 cm/10.4 in Absorber bag arm (optional) Arm length: 30.5 cm/12 in Bag arm height (adjustable): 87 cm/34.3 in 104 cm/40.9 in Pressure Control SIMV (Synchronized Intermittent Mandatory Ventilation) (volume and pressure) PSVPro (Pressure Support with Apnea backup) Ventilator parameter ranges Tidal volume range: 20 to 1500 mL (Volume Control and SIMV modes) 20 to 100 mL (increments of 5 mL) 100 to 300 mL (increments of 10 mL) 300 to 1000 mL (increments of 25 mL) 1000 to 1500 mL (increments of 50 mL) Diameter: 12.5 cm/5 in Incremental settings: Brakes: Individual locking front casters Minute volume range: 0 to 99.9 L/min Pressure (Pinspired) range: 5 to 60 cm H2O (increments of 1 cm H2O) 5 to 1500 mL volume delivery Pressure (Plimit) range: 12 to 100 cm H2O (increments of 1 cm H2O) Pressure (Psupport) range: Off, 2 to 40 cm H2O (increments of 1 cm H2O) Rate: 4 to 100 breaths per minute for Volume Control and Pressure Control; 2 to 60 breaths per minute for SIMV, PSVPro and SIMV–PC+PSV (increments of 1 breath per minute) Casters 2 Alarm settings Inspiratory/ expiratory ratio: 2:1 to 1:8 (increments of 0.5) Inspiratory time: 0.2 to 5.0 seconds (increments of 0.1 seconds) (SIMV and PSV Pro) Trigger window: 0 to 80% (increments of 5%) Flow trigger: 1 to 10 L/min (increments of 0.5 L/min) 0.2 to 1 L/min (increments of 0.2 L/min) Inspiration termination level: 5 to 50% (increments of 5%) Tpause: Off, 5 to 60% (increments of 5%) (VCV and SIMV/PSV modes) Positive End Expiratory Pressure (PEEP) Type: Integrated, electronically controlled Range: OFF, 4 to 30 cm H2O (increments of 1 cm H2O) Ventilator performance Pressure range at inlet: 240 kPa to 700 kPa/ 35 psig to 100 psig Peak gas flow: 120 L/min + fresh gas flow Flow valve range: 1 to 120 L/min Flow compensation range: 200 mL/min to 15 L/min Ventilator Accuracy Delivery/monitoring accuracy Volume delivery: > 210 mL = better than 7% < 210 mL = better than 15 mL < 60 mL = better than 10 mL Pressure delivery: ±10% or ±3 cm H2O PEEP delivery: ±1.5 cm H2O Volume monitoring: > 210 mL = better than 9% < 210 mL = better than 18 mL < 60 mL = better than 10 mL Pressure monitoring: ±5% or ±2 cm H2O Tidal volume (VTE): Low: OFF, 0 to 1500 mL High: 20 to 1600 mL, OFF Minute volume (VE): Low: OFF, 0 to 10 L/min High: 0 to 30 L/min, OFF Inspired oxygen (FiO2): Low: 18 to 100% High: 19 to 100%, OFF Apnea alarm: Mechanical ventilation ON: < 5 mL breath measured in 30 seconds Mechanical ventilation OFF: < 5 mL breath measured in 30 seconds Low airway pressure: 4 cm H2O above PEEP High pressure: 12 to 100 cm H2O (increments of 1 cm H2O) Sustained airway pressure: Mechanical ventilation ON: Plimit < 30 cm H2O, the sustained limit is 6 cm H2O Plimit 30 to 60 cm H2O, the sustained limit is 20% of Plimit Plimit > 60 cm H2O, the sustained limit is 12 cm H2O PEEP and mechanical ventilation ON: Sustained limit increases by PEEP minus 2 cm H2O Mechanical ventilation OFF: Plimit ≤ 60 cm H2O, the sustained limit is 50% of Plimit Plimit > 60 cm H2O, the sustained limit is 30 cm H2O Subatmospheric pressure: Paw < -10 cm H2O Alarm silence countdown timer: 120 to 0 seconds 3 Ventilator Components Compact Airway Modules Flow transducer General Type: Variable orifice flow sensor Dimensions: 22 mm OD and 15 mm ID Location: Inspiratory outlet and expiratory inlet (Optional autoclavable sensor available) Size (W x D x H): 75 x 215 x 112 mm/ 2.9 x 8.4 x 4.4 in Weight: 1.6 kg/3.7 lb Sampling rate: Oxygen sensor Type: M-CAiO, M-CAiOV, M-CAiOVX module software version 3.2 or higher; E-CAIO, ECAiOV, E-CAiOVX Optional galvanic fuel cell or paramagnetic with MGAI option Ventilator screen Display size: 31 cm/12.1 inch diagonal Pixel format: 800 (H) x 600 (V) Battery backup Backup power: Demonstrated battery time under typical operating conditions is 90 + minutes when fully charged. Battery time under extreme conditions is 30 minutes. Battery type: Internal rechargeable sealed lead acid Communication ports RS-232C compatible serial interface Ethernet 200 mL/min ±20 mL Automatic compensation for atmospheric pressure variation (500 to 800 mmHg) temperature and CO2/N2O and CO2/O2 collision broadening effect. Parameter display update interval typically breath-by-breath. Functional alarms for blocked sample line, D-fend check and D-fend replacement. Non-disturbing gases: Ethanol, acetone, methane, nitrogen, nitric oxide, carbon monoxide, water vapor: Maximum effect on readings: CO2 < 0.2 vol %; O2 < 2 vol % Carbon dioxide (CO2) EtCO2: End-tidal CO2 concentration FiCO2: Inspired CO2 concentration CO2 waveform Measurement range: 0 to 15% (0 to 15 kPa, 0 to 113 mmHg) Accuracy: ±0.3 vol %* Datex-Ohmeda infrared sensor Datex-Ohmeda device interface solutions port USB port Adjustable low and high alarm limits for EtCO2 and FiCO2 Respiration Rate (RR) Anesthetic Agent Delivery Measurement range: 4 to 60 breaths per second Delivery Detection criteria: 1% variation in CO2 Vaporizers: Tec® 5, Tec 6 Plus, Tec 7 Number of positions: 2 Mounting: 4 Tool-free installation Selectatec® manifold interlocks and isolates vaporizers Adjustable low and high alarm limits for respiration rate; alarm for apnea Patient Oxygen (O2) FiO2: Inspired O2 concentration EtO2: End-tidal O2 concentration FiO2-EtO2: Inspired-expired difference * Typical value ** Measurement not valid with O2 and N2O mixtures O2 waveform Measurement range: 0 to 100 % Accuracy: ±2 vol %* Datex-Ohmeda differential paramagnetic sensor Adjustable low and high alarm limits for FiO2 and EtO2; alarm for FiO2 < 18% Nitrous Oxide (N2O) Measurement range: 0 to 100% Accuracy: ±3 vol %* FiN2O > 82% alarm Anesthetic Agent (AA) Halothane, Isoflurane, Enflurane Measurement range: 0 to 6% Accuracy: ±0.2 vol %* Sevoflurane Measurement range: Accuracy: Desflurane Measurement range: Accuracy: 0 to 8% ±0.2 vol %* 0 to 20% 0 to 5% ±0.2 vol %* 5 to 10% ±0.5 vol % 10 to 20% ±1 vol %* Tidal volume Measurement range: Accuracy*: 150 to 15 to 2000 mL 300 mL ±6% or 30 mL ±6% or 4 mL Minute volume Measurement range: Accuracy*: 2 to 20 L/min 0.5 to 5 L/min ±6% ±6% Airway pressure Measurement range: Accuracy*: Display units: -20 to -20 to +100 cm H2O +100 cm H2O ±1 cm H2O ±1 cm H2O cm H2O, mmHg, kPa, mbar, hPa Flow Measurement range: 1.5 to 100 L/min I:E Measurement range: 1:4.5 to 2:1 Compliance Measurement range: 4 to 100 mL/cm H2O Airway resistance Measurement range: 0 to 40 cm H2O/L/s 0.25 to 25 L/min 1 to 100 mL/cm H2O Sensor specifications D-lite Pedi-lite Waveform displayed Dead space: 9.5 mL 2.5 mL MAC value displayed Resistance at 30 L/min: at 10 L/min: 0.5 cm H2O 1.0 cm H2O Identification threshold: 0.15 vol %* Agent mixture detection Adjustable high and low alarm limits for EtAA, FiAA Patient Spirometry™ (available in Datex-Ohmeda Anesthesia Monitor module bay) Pressure-volume loop Flow-volume loop Airway pressure and flow waveforms Adjustable low and high alarm limits for Ppeak, PEEPtot and MVexp Alarms for MVexp << MVinsp and for MVexp low. Detection through D-lite® or Pedi-lite® flow sensor and gas sampler with following specifications: Respiration rate: D-lite Pedi-lite Gas exchange** (available in Datex-Ohmeda Anesthesia Monitor module bay) VO2: Oxygen consumption VCO2: Carbon dioxide production Measurement range: 20 to 1000 mL/min Respiration rate range: 4 to 35 bpm Accuracy FiO2 < 65%: ±10% or 10 mL 65% < FiO2 < 85%: ±15% or 15 mL Detection through D-lite flow sensor or Pedi-lite flow sensor and gas sampler (see the measurement ranges and sensor specifications above). 4 to 35 4 to 50 breaths/min breaths/min * Typical value ** Measurement not valid with O2 and N2O mixtures 5 Electrical Specifications Current leakage 100/120 V: Alternate O2 (safety flow) < 300µA Power Power input: 100-120 Vac, 50/60 Hz Power cord: Length: Rating: 5 m/16.4 ft 10A @ 220 Vac or 15A @ 120 Vac Range: 500 mL/min minimum to 10 L/min Indicator: Flow tube Indicator accuracy: ±5% full scale Fresh gas Flow range: 0 and 150 mL/min to 15 L/min (minimal flow capable) Total flow accuracy: ±10% or ±40 mL/min of setting (larger of) O2 flow accuracy: ±5% or ±20 mL/min of setting (larger of) Pneumatic Specifications Balance gas flow accuracy: ±5% or ±20 mL/min of setting (larger of) Air/N2O Auxiliary common gas outlet (optional) O2 concentration range: 25% to 100% Connector: O2 concentration accuracy: ±8% V/V for flows < 400 mL/min ±5% V/V for flows > 400 mL/min to 1 L/min ±2.5% setting for flows > 1 L/min Electronic mixer response time: 500mS (10% to 90% flow step) Compensation: Temperature and atmospheric pressure compensated to standard conditions of 20°C and 101.3 kPa Hypoxic guard: Electronic Inlet/outlet modules (100V) System circuit breakers: 15A Outlets (optional): 3 outlets on back, 2-2A, 1-4A individual breakers, isolation transformer standard ISO 22 mm OD and 15 mm ID Gas supply Pipeline input range: 280 kPa to 600 kPa/ 41 psig to 88 psig Pipeline connections: DISS-male, DISS-female, DIN 13252, AS4059, BSPP 3/8, S90-116, or NIST All fittings available for O2, N2O, and Air, and contain pipeline filter and check valve. Cylinder input: valve. Pin indexed in accordance with CGA-V-1 or DIN (nut and gland); contains input filter and check Note: Maximum 2 cylinders Primary regulator diaphragm minimum burst pressure: 2758 kPa/400 psig Primary regulator nominal output: ≤ 345 kPa/50 psig Pin indexed cylinder and DIN cylinder connections N2O shut off with loss of O2 pressure Supply failure alarm: Range: 193 kPa to 221 kPa/ 28 psig to 32 psig Sounds at maximum volume every 10 seconds 6 Range: > 35 L/min O2 flush: All materials in contact with patient breathing gases are free of natural rubber latex. Environmental Specifications O2 controls Method: Materials System operation Temperature: to 104°F 10° to 40°C/50° Humidity: 15 to 95% relative humidity (non-condensing) per IEC 68-2-3 Altitude: -440 to 3565 m/ 500 to 800 mmHg System storage Materials Temperature: to 140°F Humidity: 10 to 95% relative humidity (non-condensing) per IEC 68-2-3 Altitude: -440 to 5860 m/ 375 to 800 mmHg Oxygen cell storage: -25° to 60°C/-13° -15° to 50°C/5° to 122°F 10 to 95% relative humidity 500 to 800 mmHg Electromagnetic compatibility Immunity: Complies with all requirements of EN 60601-1-2 Emissions: CISPR 11 group 1 class B Approvals: UL 2601-1, CSA C22.2 #601.1, EN/IEC 60601-1, CE 0197, EN 740 Breathing Circuit Specifications Operational modes Breathing circuit is circle mode; SCGO option converts to open circuit mode Carbon dioxide absorbent canister Absorbent capacity: 800 g Integrated expiratory limb water reservoír Ports and connectors Exhalation: 22 mm OD ISO 15 mm ID taper Inhalation: 22 mm OD ISO 15 mm ID taper Bag port: 22 mm OD Bag-to-Ventilator switch Type: Bi-stable Control: Controls ventilator and direction of breathing gas within the circuit Integrated Adjustable Pressure Limiting (APL) valve Range: All materials in contact with exhaled patient gases are autoclavable, except disposable flow sensors, O2 cell, and M-CAiOVX or ECAiOVX module. (Autoclavable flow sensors optional) All materials in contact with patient gas are free of natural rubber latex. Breathing circuit parameters Compliance: Bag mode: 1.82 mL/cm H2O Mechanical mode: Automatically compensates for compression losses within the absorber and bellows assembly Total circuit volume: 2.7 L Vent Mode, 1.2 L Bag Mode Note: Includes Absorber volume Expiratory resistance: Pexp Vent Mode Pexp Bag Mode Flow ratePressure dropPressure drop 10 L/min 0.78 cm H2O 0.77 cm H2O 30 L/min 1.59 cm H2O 1.71 cm H2O 60 L/min 3.48 cm H2O 3.88 cm H2O Note: With patient circuit and wye piece add +0.89 cm H2O Anesthetic gas scavenging AGSS Type Hospital extract system required Machine connection High vacuum, low flow with indicator: High vacuum 36 L/min @ 12 in Hg (305 mmHg) DISS evac High vacuum, variable flow with bag indicator: High vacuum 30 L/min extract flow @ 12 in Hg (305 mmHg) DISS evac Passive: Passive or external 30 mm/1.2 in active system M ISO taper with air break 0.8 to 70 cm H2O Tactile knob indication at: 30 cm H2O and above Adjustment range of rotation: 0.8 to 30 cm H2O (0 to 230°) 30 to 70 cm H2O (230 to 330°) 7 © 2010 General Electric Company – All Rights Reserved. General Electric Company reserves the right to make changes in specification and features shown herein, or discontinue the product described at any time without notice or obligation. Contact your GE representative for the most current information. GE and GE Monogram are trademarks of General Electric Company. Avance, ABS, Tec, PSVPro, Selectatec, D-lite, Pedi-lite, and Patient Spirometry are trademarks of General Electric Company. D-lite, Pedi-lite, and Patient Spirometry are trademarks of GE Healthcare Finland Oy. Datex-Ohmeda, Inc., a General Electric company, doing business as GE Healthcare. About GE Healthcare GE Healthcare provides transformational medical technologies and services that are shaping a new age of patient care. Our broad expertise in medical imaging and information technologies, medical diagnostics, patient monitoring systems, drug discovery, biopharmaceutical manufacturing technologies, performance improvement and performance solutions services help our customers to deliver better care to more people around the world at a lower cost. In addition, we partner with healthcare leaders, striving to leverage the global policy change necessary to implement a successful shift to sustainable healthcare systems. Our “healthymagination” vision for the future invites the world to join us on our journey as we continuously develop innovations focused on reducing costs, increasing access and improving quality and efficiency around the world. GE Healthcare www.gehealthcare.com AN-0105-01.07-EN-US
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